The nurse notifies the treatment team that the client's electroconvulsive therapy treatment scheduled for 9:45 a.m. is to be cancelled when the:

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Question 1 of 5

The nurse notifies the treatment team that the client's electroconvulsive therapy treatment scheduled for 9:45 a.m. is to be cancelled when the:

Correct Answer: D

Rationale: The correct answer is D because food intake before electroconvulsive therapy (ECT) can increase the risk of aspiration during the procedure, which can be life-threatening. Buttered toast, cooked cereal, tea, and juice are considered solid food items that should be avoided before ECT to prevent complications. Choices A, B, and C are not immediate contraindications for canceling the ECT session. A: The client's wife being late does not impact the safety of the procedure. B: Taking antihypertensive medication does not pose a direct risk before ECT. C: Fitful sleep and bad dreams do not indicate a need for cancellation unless related to a medical emergency.

Question 2 of 5

A teenager who has a history of alcohol abuse wants to host a holiday party at his home. In order to best implement family-based measures to prevent the use of alcohol or drugs the parents will:

Correct Answer: B

Rationale: The correct answer is B because by insisting on being home and visible during the party, the parents can actively supervise and monitor the activities, deterring any alcohol or drug use. They can intervene promptly if any issues arise. A: Refusing to allow the teenager to host the party may lead to rebellion and secretive behavior. C: Allowing the party in a public space does not guarantee supervision or control over alcohol/drug use. D: Having attendees sign a contract relies solely on their compliance without active supervision or monitoring.

Question 3 of 5

A client's history documents that there have been examples of indirect self-destructive behavior. Which nursing assessment data supports this diagnosis?

Correct Answer: B

Rationale: The correct answer is B because reports of abusing alcohol since the age of 16 indicate a pattern of indirect self-destructive behavior. This behavior can lead to physical harm and other negative consequences. Option A directly mentions suicide attempts, not indirect behavior. Option C is unrelated to self-destructive behavior. Option D, while acknowledging suicidal thoughts, does not demonstrate a pattern of indirect self-destructive behavior like long-term alcohol abuse.

Question 4 of 5

During an initial assessment interview, the client reports using an herbal product to help manage his depression after his recent heart attack. The nurse demonstrates an understanding of the greatest risk of injury these circumstances pose to the client when asking:

Correct Answer: B

Rationale: Rationale for Correct Answer (B): - The correct answer is B because the greatest risk of injury in this scenario is potential bleeding complications due to the use of herbal products. - Herbal products can interact with medications, including anticoagulants, increasing the risk of bleeding. - Asking about difficulty stopping bleeding helps assess for potential adverse effects of the herbal product on clotting factors. - This question directly addresses a specific risk associated with herbal product use in the context of a recent heart attack. Summary of Incorrect Choices: - Choice A is incorrect because while quality control issues may be a concern with herbal products, it is not the most immediate risk in this case. - Choice C is incorrect as it focuses on the source of the recommendation rather than the client's health risks. - Choice D is incorrect as it does not address the potential physical harm related to herbal product use after a heart attack.

Question 5 of 5

What type of therapy is 'person-centered' and utilizes a method of communication rather than a set of techniques?

Correct Answer: A

Rationale: The correct answer is A: Motivational interviewing. This therapy aligns with the person-centered approach by focusing on empathetic listening, understanding the client's perspective, and fostering self-motivation for change. It emphasizes a collaborative and non-confrontational communication style, allowing clients to explore and resolve ambivalence towards behavior change. The other choices (B: CBT, C: Narrative Therapy, D: Existential Therapy) involve structured techniques and interventions rather than solely relying on communication to facilitate change.

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